Dmitriy Kazakov, PHD - Medicare Psychologist in Port Chester, NY

Dmitriy Kazakov, PHD is a medicare enrolled "Psychologist - Clinical" provider in Port Chester, New York. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Carmel Psychological Health Pc and his current practice location is 10 Pearl St Fl 2, Port Chester, New York. You can reach out to his office (for appointments etc.) via phone at (914) 265-2762.

Dmitriy Kazakov is licensed to practice in New York (license number 2997224) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336804541.

Contact Information

Dmitriy Kazakov, PHD
10 Pearl St Fl 2,
Port Chester, NY 10573-4611
(914) 265-2762
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDmitriy Kazakov
GenderMale
SpecialityClinical Psychologist
Experience7 Years
Location10 Pearl St Fl 2, Port Chester, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dmitriy Kazakov graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1336804541
  • Provider Enumeration Date: 11/02/2021
  • Last Update Date: 07/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1759774185
  • Enrollment ID: I20241212001358

Medical Identifiers

Medical identifiers for Dmitriy Kazakov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336804541NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 4127 (Connecticut)Secondary
103G00000XClinical Neuropsychologist 2997224 (New York)Secondary
103TC0700XPsychologist - Clinical 2997224 (New York)Primary
103G00000XClinical Neuropsychologist 4127 (Connecticut)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carmel Psychological Health Pc4385530351222

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dmitriy Kazakov allows following entities to bill medicare on his behalf.
Entity NameCarmel Psychological Health PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720194335
PECOS PAC ID: 4385530351
Enrollment ID: O20040225001248

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dmitriy Kazakov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dmitriy Kazakov, PHD
10 Pearl St Fl 2,
Port Chester, NY 10573-4611

Ph: Not Available
Dmitriy Kazakov, PHD
10 Pearl St Fl 2,
Port Chester, NY 10573-4611

Ph: (914) 265-2762

Reviews and Comments


Psychologist in Port Chester, NY

Madelin Retana,
Psychologist
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Phone: 914-500-9849    
Dr. Bertha Lucia Cruz, PSY.D.
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Practice Location: 18 Central Ave, Port Chester, NY 10573
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Misael Martinez,
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Practice Location: 132 Pearl St, Port Chester, NY 10573
Phone: 914-393-2700    
Jessica Kastin, PSYD
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Medicare: May Accept Medicare Assignments
Practice Location: 10 Pearl St Fl 2, Port Chester, NY 10573
Phone: 914-265-2762    
Lisette Madrigal, MS., NCSP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 697 King St, Port Chester, NY 10573
Phone: 914-934-8061    
Dr. Valentina Shehu, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 10 Pearl St Fl 2, Port Chester, NY 10573
Phone: 845-279-5908    Fax: 914-653-8282
Dr. Wendy Mckenna, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 22 Elizabeth St, Port Chester, NY 10573
Phone: 914-939-9197    

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